| NPI | 1992069017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS016660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT014483) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2022-01-25 |